Effects of perforator flaps in the reconstruction of hypertrophic scar contracture deformities in the large joints of extremities of patients after severe burns

• Published in: Zhonghua shao shang za zhi Vol. 35; no. 6; p. 417
• Main Authors: Hu, X H, Qin, F J, Li, J, Ma, C X, Shen, Y M
• Format: Journal Article
• Language: Chinese
• Published: China 20.06.2019
• Subjects: Adolescent; Adult; Aged; Burns; Child; Child, Preschool; Cicatrix, Hypertrophic - surgery; Contracture; Female; Humans; Knee Joint; Male; Middle Aged; Perforator Flap; Reconstructive Surgical Procedures - methods; Skin Transplantation; Wound Healing; Young Adult; Cicatrix; Burns; Joints; Perforator flaps; Extremities
• ISSN: 1009-2587
• DOI: 10.3760/cma.j.issn.1009-2587.2019.06.004

To explore the clinical effects of perforator flaps in the reconstruction of hypertrophic scar contracture deformities in the large joints of extremities after severe burns. From January 2008 to January 2018, 72 patients (53 males and 19 females, aged 5 to 63 years) with hypertrophic scar contracture deformities and functional disorder in the large joints of extremities after severe burns were admitted to the Department of Burns of Beijing Jishuitan Hospital. Scar hyperplasia and contracture deformity were located at shoulder joints of 28 patients, elbow joints of 15 patients, hip joints of 7 patients, knee joints of 17 patients, and ankle joints of 5 patients. The wound area of patients after the scars were excised and released ranged from 7 cm×6 cm to 34 cm×12 cm. The wounds were repaired with corresponding unexpanded perforator flaps or expanded perforator flaps according to the joint location and existing soft tissue conditions. The size of flaps ranged from 7 cm×6 cm to 35 cm×14 cm. The donor sites of 51